Wednesday, March 26, 2014

What does 68 surgeries look like?

So several weeks ago I went down in flames with the flu.   Of course it was HIDEOUS but the worst part was not being able to participate in one of my favorite surgical weeks, ENT (lots of tonsils!).  I was there for Monday morning before the plague struck me down...and I robbed lots of photos from the fabulous folks of Hickory NC, Fort Wayne, IN and my dear friend Cathy to demonstrate a bit of what a busy ENT week (PLUS a team going out to serve and treat barrios) may look like.  Thanks guys!  You did a great job!  68 surgeries in the clinic and HUNDREDS of folks served in 4 different neighborhoods (barrios, campos) by the mobile barrio team.   It's such an inspiration to see, even if it's either from a bed in the clinic (yup- I too received an IV in the clinic), via the photos and stories from the team, and best yet- the testimony of the folks who were served.  Amazing stuff!


So first of all, the teams arrive on Sunday mornings and bring in about one billion suitcases full of TREASURES and supplies!


They spend Sunday afternoon in orientation and then unpacking and setting up the ORS, Recovery rooms, Pre-op, etc...


The clinic is usually FULL of folks waiting either for consults or surgery.    There are consults before surgery to determine who is a candidate for surgery.    The OR crews are busy at work prepping the beds, getting supplies ready, checking the equipment, unpacking, etc.





The hallways are LINED with folks waiting!

Meanwhile, the barrio teams are unpacking their meds in the pharmacy and then REPACKING for the week in a big pharmacy box to dispurse medications.


Whichever day we hold consults (either a Friday before or a Monday morning)....there are HUNDREDS of folks waiting outside.  This is a pic of Nef and I giving instructions to the crowd in an attempt to be organized.


Our American nurses working with the Dominican nurses.....awesome teamwork!

And when surgery begins....ahhhh the sweet love and care that the nurses give to the patients.   I learn a LOT...and it's just so inspirational to see.  


Everybody gets a chance to listen and learn!  :)


We have a lot of fun with the amazing surgeons who come to serve here!  Here we are teasing Dr. Frank after a busy week of 68 surgeries!  


The amazing OR team....what a great job!   These guys do a TON of organizing and packing before they come.   We are so grateful.....as are the patients who have a much better quality of life after surgery.  THANKS HICKORY- FORT WAYNE- CATHY CASE...and everyone who came down and cared for the Dominicans...oh yeah- and cared for me too!  :)  







Saturday, March 8, 2014

Birthdays and babies.....


So not only did I just have a birthday but today TODAY Baby Nicole is turning THREE!  How did that happen!
Life in the DR flies by...I can't believe that 3 years ago TODAY was one of the most stretching, exciting, emotional, crazy days of my time here (see Blog post BASTIDA for more details...).  
I spent my birthday hiking in Hondo Valle, ascending mountains to get to a posted Dominican flag, eating lunch and breakfast in a Dominican "ecoturistico park", and laughing for hours in the truck while we bounced over horrid bumpy roads to arrive there.   We finished up with tacos in the Guesthouse for dinner and it was a fabulous fabulous exhausting exhilarating day.   Photos below- God is so good!  Grateful for another year of life, not just for me...but for the precious 3 year old who is named for me and brings me great joy (and lots of laughter!).  


Birthday crown....(Kari has mad crown-making skills!)


Seriously feeling loved with these notes on the wall.  


These guys know how to make a birthday girl feel special!


Laura made me a chocolate cake with peanut butter icing!  WOW- killer good!


The "ecoturistico" park where we hiked and ate breakfast and lunch.  Gorgeousness....


We have almost made it to the top of the mountain!

Dan and Kamanda on the way up!


Monchy carrying Braegan to the Bandera (the flag!) .....she was such a trooper and snoozed much of the way up!


The view from the peak...looking down over Hondo Valle.  


We made it to the top!  Beautifulness!


And now.....look at this beautiful face!  THREE YEARS OLD TODAY.  Can't wait to celebrate with cake and the whole nine yards........  Let the chaos begin.....





Unplugged


I have to laugh at many of the seemingly normal things that happen here that just wouldn’t fly in the States.
From the motorcycles stuffed with 7 people to the “no-call, no-shows” of hordes of folks that one was EXPECTING, I’m still trying to get used to the “norm” of San Juan.    Of COURSE it’s normal to have one’s keys up on the roof, with one stuck on the balcony trying with a mop handle to wrestle them down.  THAT happens when friends offer to put away your pasola and then toss your keys up to the balcony.  Oops.  And of course it’s NORMAL to wear parkas in 70 degree weather here because it’s COLD in the wintertime.   It’s NORMAL to eat boiled bananas and pumpkins with onions for dinner.  In fact, I love it.  Toss some eggs on top and I’m happy as a clam.
It’s NORMAL to show up for an appointment or a class (after traveling up to 2 hours) and have the doctor or professor  just “not be there”, even if it was scheduled.  Dominicans don’t flip out or become furious (although I would).  They just sigh and plan their next trip.    It’s NORMAL to bathe at least 2 times a day- only dirty folks shower once a day (oops!).   It’s normal to NEVER mix milk and juice, drinking them at the same time in two different glasses.   That would be gross, except that we put milk IN our juice when we are mixing it up in the blender and that is not only NORMAL, it’s how you SHOULD make juice (with vanilla, ice, plenty of sugar, and milk).  Huh?  Yup.  I can’t explain it but it’s normal here.
It’s normal to have your phone suddenly be dead in the middle of a conversation.  Clearly you or they have run out of minutes.   It’s also normal to hang up in the middle of conversation- signifying that you are CLEARLY running out of minutes and cannot continue to chat.    Its normal to have your phone ring once and then stop.  THAT means a Dominican is calling you who doesn’t have phone minutes and you need to call them back immediately.
It’s normal to state AMEN when someone says “Dios te Bendiga” (or God bless you).  In fact, it’s the only proper response and completely expected.    It’s normal to have toothpaste on any cut or pimple on your body.  Toothpaste cures everything.   It’s normal to drink tea remedys that taste HORRIFIC for any malady that you may have, from headaches to stomachaches to cough/colds.  I think they make it out of tree bark possibly and I have to hold my nose to get it down.
Ahhhhh the joys of learning culture and LAUGHING about new normals.   I’m thankful for Jesus, the same YESTERDAY, TODAY and TOMORROW.  :)

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